GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And yet we’re also in a different place in diabetes monitoring and management. Eric: And you can probably tell already, the topic at hand is diabetes management in late life.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

MARCH 14, 2024

We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. But estimates in community dwelling older adults are around 15%. This is Eric Widera.

IT 124

IT Hospital Patient-Centered Individual 124

Edge Family Medicine

FEBRUARY 10, 2025

Healthcare has evolved, and patients now have more choices than ever for medical consultations. Telemedicine allows you to consult with a doctor remotely via video, phone, or online messaging. Safety – Reduces exposure to contagious illnesses. Mild illnesses such as colds, rashes, or minor infections. Let’s break it down.

Telemedicine 130

Telemedicine Family Medicine DO Chronic Disease Management 130

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. This is Eric Widera. Alex 00:03 This is Alex Smith. Thats a lot of S s. I’m fine.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. In their communities? The article we discuss today, also published in JAMA , addresses these two gaps. With their regular providers?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. We had tried to actually select people who didn’t have a serious illness. Marian: Thank you.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. But watch out! That’s what I’m waiting for, Alex.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. Happy pride and thanks for the invitation, Alex and E.

Individual 82

Individual Community IT Chronic Condition 82

Plum Health

OCTOBER 16, 2024

Comprehensive Primary Care for Michigan Communities What sets this clinic apart is its comprehensive approach to primary care. From managing chronic diseases like diabetes and hypertension to preventive care and health screenings, the clinic is known for providing patient-centered care. The doctors here really listen to your concerns.”

Clinic 52

Clinic Chronic Disease Management Primary Care Medical 52

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine. So we’re going to be today talking about serious illness palliative care in the homelessness population.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. And oh, guess what?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 28, 2024

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. But importantly, it did not change the frequency of comfort care orders. Kate: Sounds right.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

DECEMBER 8, 2022

Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. Tell me about your illness.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. The reason that you’re in a nursing home is because you have some mix of serious illness and multimorbidity, usually functional impairments. And so I tried to get her actually to pain management, and I couldn’t. Cognitive impairment.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

MAY 12, 2022

In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. Prognosis communication and the subtle ways we may communicate it without intention. And I believe it needs the community.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MAY 4, 2023

There’s all this stuff that we’re supposed to be doing at that stage of life and then you add the complexity of the serious illness. If there’s a serious illness, all of a sudden, you’re in this place where now you’re struggling between this growing independence and also then this dependence that you may have.

IT 83

IT Families Family Illness 83

GeriPal

DECEMBER 15, 2022

So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Tell me about your illness. So those questions we ask when we’re doing a palliative care consult.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. Participants were critically ill and intubated. What is sludge? Where was it?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They didn’t feel connected to the people in their broader community.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? I actually do some consulting work with a company called the Farmstand that’s based in a community called the Villages in Florida. And she never confessed.

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And so there’s complexity in Understanding how each state manages this. Because I mean, California is different. They have an advance directive.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. He looked very ill. Bubbles Up is following Bubbles Up as the song will elucidate. How do you see the light?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? We think there are some cases, certain kinds of illnesses or conditions or operations, where people have the surgery and never get out of bed again. What does it mean for functional status, symptom management, location of care? Eric: Yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. But now we have older people dying of older people illnesses. It’s by choice, just like in the community. Michele: Thank you for having me. Michele: Yep.

Families 132

Families Family IT Community 132

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. And it was amazing just seeing the differences in how end-of-life care is managed at those three institutions, which were all a subway right away from each other.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MARCH 24, 2023

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Now it’s 70%. Who sees you?

IT 114

IT Provider Patients Families 114

Blood, Sweat, and Tears

MARCH 18, 2023

A consultant I really respect and admire said “Atleast TB is treatable over a few months. Community service. We had 3 consulting rooms in one cramped up area which was permanently congested. On day 8, I was still ill but feeling much better. I managed to take 2 small breaths and was feeling less hypoxic.

Consulting 52

Consulting Specialization IT Management 52

GeriPal

SEPTEMBER 19, 2024

Alex 10:53 Yeah, or like palliative care if they get a consult for whatever reason, but not trn consult, like standardized, you know, randomized to palliative care versus whatever they’re doing before. If they get palliative care consult, they get one. If they don’t, they don’t. Is this superior to that?

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

FEBRUARY 2, 2023

Bob: Well, it changed how I helped talk to people who are seriously ill and it acknowledged some of the feelings that I have and helped me be more aware of those feelings when I’m taking care of patients. Can I ask, how did it change you, how you think about talking to folks with serious illness? Eric: Yeah. Well it helps you.

IT 104

IT Medical Student Medical Families 104

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. Vickie: I’m going to push you back even further and say that I feel that it is an institutional obligation to create a moral community where this is okay.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

JULY 20, 2023

Eric: We’re going to be talking about telemedicine for those who have serious illness, and this came out of a recent publication Carly did in the San Francisco Chronicle titled Telemedicine Helps People in Pain, Don’t Take That Away. So we’re going to be talking about telemedicine, telehealth for people with serious illness.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73